A nurse is checking the home environment of a client for safety hazards. Which of the following items require intervention by the nurse?

The television set is turned to a loud volume.

The dining room table has low chairs with no armrests.

The bedroom extension cord is placed under a heavy nightstand.

The living room contains wall-to-wall carpeting.

Answer and Explanation

The Correct Answer is C

A.   The television set turned to a loud volume may not necessarily pose a safety hazard unless it disturbs others in the household or contributes to hearing damage. However, it is not a direct safety concern for the client.
B.   The dining room table having low chairs with no armrests could present a challenge for older adults when sitting down or getting up, but it is not an immediate safety hazard.
C.   The bedroom extension cord placed under a heavy nightstand is a safety hazard because it poses a risk of electrical fire if the cord becomes damaged or overloaded. The nurse should
intervene to relocate the extension cord to a safer location.

D. The presence of wall-to-wall carpeting in the living room is not necessarily a safety hazard unless it is loose or torn, posing a tripping hazard. However, it is not explicitly described as such in the scenario.

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Correct Answer is C

Explanation

A. Providing a low-protein diet is not indicated for managing sickle-cell disease or vasoocclusive crisis. In fact, adequate protein intake is important for tissue repair and healing.
B. Applying cold compresses to painful areas may exacerbate vaso-occlusive crisis by causing vasoconstriction, which can further impede blood flow to affected tissues.
C. Performing passive range-of-motion exercises helps prevent complications associated with immobility during a vaso-occlusive crisis, such as muscle atrophy and joint contractures, and promotes circulation and pain relief.
D. Limiting fluid intake during the evening is not typically recommended for individuals with sickle-cell disease, as adequate hydration is essential for preventing dehydration and maintaining circulation, especially during a vaso-occlusive crisis.

A. Anger B. Depression C. Acceptance D. Denial

Correct Answer is D

Explanation

A. Anger is characterized by feelings of hostility and frustration, which may arise as the client acknowledges the reality of their situation.
B. Depression involves feelings of sadness, hopelessness, and despair, often occurring as the client comes to terms with the impending loss or changes associated with their condition.
C. Acceptance involves acknowledging and coming to terms with the reality of the situation without resistance or denial.
D. Denial is a defense mechanism where the client refuses to acknowledge the reality of their situation, such as the need for a lengthy recovery period after open heart surgery. The client's statement reflects denial, as they are minimizing the seriousness of the surgery and its impact on their recovery.

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A nurse is checking the home environment of a client for safety hazards. Which of the following items require intervention by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is contributing to the plan of care for a school-age child who has sickle-cell disease and is experiencing a vaso-occlusive crisis. Which of the following should the nurse recommend to include in the plan of care?

Correct Answer is C

Explanation

A nurse is caring for a client who is scheduled for open heart surgery. The client states, "I am confident I will be able to go home a few hours after the surgery." The nurse should identify that the client is experiencing which of the following stages of grief?

Correct Answer is D

Explanation

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